Organization
DR MIGUELINA VARGAS, PHD
Active
Other names
DR Miguelina J Vargas Psychologist LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUELINA VARGAS VARGAS PHD (PSYCHOLOGIST/OWNER)
(719) 205-4309
Entity
Organization
Contact information
Practice address
1304 N ACADEMY BLVD, SUITE 204, COLORADO SPRINGS, CO 80909-3325
(719) 205-4309
(719) 465-3576
Mailing address
1304 N ACADEMY BLVD, SUITE 204, COLORADO SPRINGS, CO 80909-3325
(719) 205-4309
(719) 465-3576
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2647
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11421835
—
CO
01
—
279008
PTAN
CO
Enumeration date
03/01/2016
Last updated
03/01/2016
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